Organization
CRNA SERVICES OF DGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY M CROWE (CFO)
(256) 341-2000
Entity
Organization
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 341-2000
(256) 306-1691
Mailing address
PO BOX 2239, DECATUR, AL 35609-2239
(256) 341-2000
(256) 306-1691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
H5202
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110735
—
AL
01
—
DP9284
RR MEDICARE
AL
Enumeration date
04/03/2009
Last updated
02/07/2013
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